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Work Activity Work Order �a�� 1 <br /> �����oo, ,:�.� <br /> ISSUCd BY WMW WARD,MICHAEL W. <br /> Issued Department rw PUBLIC WORKS <br /> Date Issued eiv�oor <br /> Fund qot Account s Program �io Function tt9 Activity 675 <br /> Pwgram <br /> Till@ CONVERT 210u GRAND AVE 710119675 <br /> Work Order No ZQ��D469 Project Activity Type CORRECTIVE A9AINTENANCE $181U5 PR <br /> Dale sn�zoo� Time or.2o Original WO Billing <br /> Customer Informalion <br /> Customer Name Cuslomer ld <br /> Address Street <br /> Apartment No ���Y <br /> Stale Z�P <br /> Subdivision Change Map YIN <br /> Phone No l 1 - Exl <br /> Second Phone l 1 - Exl <br /> E-Mail Address <br /> Problem Information <br /> Address 2106 Streel GRAND AVE <br /> From Cross Slreel <br /> To Cross Sireet <br /> City Zip <br /> Subdivision Map Book Map Reference <br /> Problem <br /> Sub Problem <br /> Requested By Dale Requested <br /> Agency Relaled Requesl <br /> initialed From <br /> Ulility Locate(USA) No Called Date E>piration Dale <br /> Assignment Information <br /> Depl Priority Estimaled Hours <br /> Crew <br /> Coniraclor <br /> Assigned To <br /> Assigned By <br /> Assigned Dale To Be Comp Dale <br /> Scheduled Date Scheduied Time <br /> Roule Rou�e Sequence <br /> Comments <br /> Action Taken , / / <br /> �� .�� (.�QL+1.�f`G �� LLT/ �Ih...Q,�„ „/��� C:»t.� �ZGY' _ �'Y' <br /> .. � ��l`" <br /> Gti�Tt �C!'t„f(-(� ��Qti�4�.�i-+L��� <br /> � ;v <br /> C.� <br />